• No se han encontrado resultados

CARACTERÍSTICAS CLÍNICAS DOS PACIENTES COM IAM: PANORAMA DA FRONTEIRA OESTE DO SUL DO BRASIL

N/A
N/A
Protected

Academic year: 2020

Share "CARACTERÍSTICAS CLÍNICAS DOS PACIENTES COM IAM: PANORAMA DA FRONTEIRA OESTE DO SUL DO BRASIL"

Copied!
5
0
0

Texto completo

(1)CARACTERÍSTICAS CLÍNICAS DOS PACIENTES COM IAM: PANORAMA DA FRONTEIRA OESTE DO SUL DO BRASIL. Alexandra Dull Pereira 1 Carla Marcelle Guterrez Moreira 2 Leticia Silveira Cardoso 3 Caroline Monteiro Bittencourt 4 Virginia Flores da Silva 5 Josefine Busanello 6. Resumo: Tema: Conceitua-se como IAM um bloqueio súbito do fluxo de sangue para o miocárdio. Os fatores de risco mais comuns: a hipertensão arterial sistêmica, tabagismo, sedentarismo, diabetes mellitus, obesidade, dislipidemias e antecedentes familiares. Objetivo: identificar as características clínicas dos pacientes com IAM submetidos a tratamento intervencionista em um hospital de referência da Fronteira Oeste do Rio Grande do Sul. Metodologia: Estudo de abordagem quantitativa, desenvolvido em unidades de urgência e emergência de um hospital do sul do Brasil. A amostra foi composta por 27 pacientes. Foram usadas as técnicas de distribuição de frequência e análise descritiva para a análise dos dados. Resultados: Dentre os pacientes, evidenciaram-se a predominância das seguintes características clínicas: gênero masculino; faixa etária de 36 anos a 84 anos; baixa escolaridade e renda mensal; tabagismos; sedentarismo; sobrepeso e obesidade grau 1; hipertensão arterial sistêmica; diabetes mellitus, dislipidemia e antecedentes familiares. A maioria dos pacientes não é acompanhado continuamente pelos serviços de saúde. Conclusões: O presente estudo identificou características clínicas dos pacientes em tratamento intervencionista na fase aguda do IAM, analisando, de forma mais crítica, esse evento cardiológico e sua relação com os aspectos sociais, clínicos e ambientais, e as dificuldades prévias para a adesão ao tratamento e plano terapêutico. A limitação do período estudo culminou em uma amostragem não significativa.. Palavras-chave: infarto do miocárdio; enfermagem;. Modalidade de Participação: Iniciação Científica. CARACTERÍSTICAS CLÍNICAS DOS PACIENTES COM IAM: PANORAMA DA FRONTEIRA OESTE DO SUL DO BRASIL 1 Aluno de graduação. [email protected]. Autor principal 2 Enfermeira. [email protected]. Co-autor 3 Docente . [email protected]. Co-autor 4 Aluna de graduação . [email protected]. Co-autor 5 Aluna de graduação. [email protected]. Co-autor 6 Docente. [email protected]. Orientador. Anais do 10º SALÃO INTERNACIONAL DE ENSINO, PESQUISA E EXTENSÃO - SIEPE.

(2) &$5$&7(5Ë67,&$6 &/Ë1,&$6 '26 3$&,(17(6 &20 ,$0 3$125$0$ '$ )5217(,5$ 2(67( '2 68/ '2 %5$6,/ ,1752'8d-2 2 LQIDUWR DJXGR GR PLRFiUGLR ,$0 p XPD GDV SULQFLSDLV FDXVDV TXH OHYDP D XP tQGLFH HOHYDGR GH PRUWH QR %UDVLO H QR PXQGR 6HJXQGR HVWXGR UHDOL]DGR FRP GDGRV GR 'HSDUWDPHQWR GH ,QIRUPiWLFD GR 6LVWHPD ÒQLFR GH 6D~GH QR SHUtRGR GH D RFRUUHUDP QRWLILFDo}HV GH FDVRV GH yELWRV SRU ,$0 QR %UDVLO VHQGR KRPHQV 1D UHJLmR 6XO GR SDtV GRV yELWRV HVWLYHUDP UHODFLRQDGRV DR ,$0 0('(,526 HW DO &RQFHLWXD VH FRPR ,$0 XP EORTXHLR V~ELWR GR IOX[R GH VDQJXH SDUD R PLRFiUGLR e SUHFLVR DWHQWDU SDUD RV IDWRUHV GH ULVFR PDLV FRPXQV KLSHUWHQVmR DUWHULDO VLVWrPLFD WDEDJLVPR VHGHQWDULVPR GLDEHWHV PHOOLWXV REHVLGDGH GLVOLSLGHPLDV H DQWHFHGHQWHV IDPLOLDUHV $OpP GLVVR DSyV D RFRUUrQFLD GH XP HSLVyGLR GH ,$0 GHYH VH DQDOLVDU R VXUJLPHQWR GH FRPSOLFDomR PDLV IUHTXHQWH FRPR D LQVXILFLrQFLD FDUGtDFD SyV ,$0 UHLQIDUWR HGHPD DJXGR GH SXOPmR FKRTXH FDUGLRJrQLFR HQWUH RXWURV 3$66,1+2 HW DO (VWH HVWXGR MXVWLILFD VH SHOD LPSRUWkQFLD GR FRQKHFLPHQWR DFHUFD GDV FDUDFWHUtVWLFDV FOtQLFDV PDLV IUHTXHQWHV HP SDFLHQWHV DGXOWRV HP WUDWDPHQWR LQWHUYHQFLRQLVWD QD IDVH DJXGD GR ,$0 0XLWDV FDUDFWHUtVWLFDV FOtQLFDV H VRFLDLV GHVVHV SDFLHQWHV FRPR JUDX GH HVFRODULGDGH SURILVVmR UHQGD PHQVDO DOLPHQWDomR H WDEDJLVPR HVWmR UHODFLRQDGDV HP PDLRU Q~PHUR SDUD R GHVHQYROYLPHQWR GH XP HYHQWR FDUGLRYDVFXODU $VVLP VHQGR REMHWLYRX VH LGHQWLILFDU DV FDUDFWHUtVWLFDV FOtQLFDV GRV SDFLHQWHV FRP ,$0 VXEPHWLGRV D WUDWDPHQWR LQWHUYHQFLRQLVWD HP XP KRVSLWDO GH UHIHUrQFLD GD )URQWHLUD 2HVWH GR 5LR *UDQGH GR 6XO 0(72'2/2*,$ (VWXGR GH DERUGDJHP TXDQWLWDWLYD GR WLSR GHVFULWLYR GHVHQYROYLGR HP XQLGDGHV GH XUJrQFLD H HPHUJrQFLD GH XP KRVSLWDO GR VXO GR %UDVLO $ SRSXODomR IRL SDFLHQWHV FRP ,$0 DWHQGLGRV QR SHUtRGR GH RXWXEUR GH D MDQHLUR GH $ DPRVWUD IRL FRPSRVWD SRU SDFLHQWHV TXH DWHQGHUDP DRV VHJXLQWHV FULWpULRV GH LQFOXVmR SDFLHQWHV DGXOWRV FRP GLDJQyVWLFR GH ,$0 H VXEPHWLGRV D WUDWDPHQWR FOtQLFR H RX FLU~UJLFR )RUDP H[FOXtGRV VHWH SDFLHQWHV FRP HVFDOD GH FRPD GH *ODVJRZ LQIHULRU D H WUrV SDFLHQWHV TXH QmR DFHLWDUDP SDUWLFLSDU GR HVWXGR 'HVWDFD VH TXH SHVTXLVD SURFHVVRX VH QD IDVH DJXGD GR ,$0 QR GHFRUUHU GR SURFHVVR GH KRVSLWDOL]DomR GR SDFLHQWH SDUD WUDWDPHQWR FOtQLFR H RX FLU~UJLFR $V LQIRUPDo}HV IRUDP FROHWDGDV GHSRLV GD HVWDELOL]DomR GR SDFLHQWH HYLWDQGR IDGLJD RX HVWUHVVH HPRFLRQDO 1R LQVWDQWH GD HQWUHYLVWD KDYLD R VXSRUWH GH HPHUJrQFLD H D SRVVLELOLGDGH GH VROLFLWDU DYDOLDomR SVLFROyJLFD GR SDFLHQWH VH QHFHVViULR $ HQWUHYLVWD IRL PHGLDGD SRU XP TXHVWLRQiULR VHPLHVWUXWXUDGR TXHVW}HV YROWDGDV SDUD DV FDUDFWHUtVWLFDV VRFLDLV H FOtQLFDV GR SDFLHQWH FRP EDVH QD HVFDOD LQWHUQDFLRQDO Mi YDOLGDGD 4XDOLGDGH GH YLGD 6) ± H $QJLQD GH 6HDWWOH 0DF1HZ H GH 0LQQHVRWD %86$1(//2 HW DO 2 HVWXGR IRL DSURYDGR SHOR &RPLWr GH eWLFD HP 3HVTXLVD VRE R Q~PHUR HP 2V SDUWLFLSDQWHV HQYROYLGRV IRUDP FRQYLGDGRV D SDUWLFLSDU H LQFOXtGRV QR HVWXGR PHGLDQWH DVVLQDWXUD GR 7HUPR GH &RQVHQWLPHQWR /LYUH H (VFODUHFLGR 7&/( 7RGRV RV DVSHFWRV pWLFRV IRUDP SUHVHUYDGRV &RQVLGHUDQGR D DQiOLVH TXDQWLWDWLYD GRV GDGRV GD SHVTXLVD IRUDP XVDGDV DV WpFQLFDV GH GLVWULEXLomR GH IUHTXrQFLD H DQiOLVH GHVFULWLYD FRP R DX[tOLR GR VRIWZDUH 6WDWLVWLFDO 3DFNDJH IRU WKH 6RFLDO 6FLHQFHV. $QDLV GR ž 6$/-2 ,17(51$&,21$/ '( (16,12 3(648,6$ ( (;7(16-2 6,(3( 8QLYHUVLGDGH )HGHUDO GR 3DPSD œ 6DQWDQD GR /LYUDPHQWR D GH QRYHPEUR GH.

(3) 5(68/7$'26 H ',6&866-2 (YLGHQFLRX VH TXH Q GRV SDUWLFLSDQWHV VmR GR JrQHUR PDVFXOLQR FRP IDL[D HWiULD GH DQRV D DQRV (QWUH RV yELWRV SRU ,$0 RFRUULGRV QR %UDVLO GXUDQWH RV DQRV GH D VmR GR VH[R PDVFXOLQR 628=$ HW DO $ SUHGRPLQkQFLD GH ,$0 QR JrQHUR PDVFXOLQR WDPEpP IRL HYLGHQFLDGD HP XP HVWXGR TXH WHYH FRPR REMHWLYR YHULILFDU D LQFLGrQFLD GD SRSXODomR TXH LQWHUQRX SDUD WUDWDPHQWR FOtQLFR H FLU~UJLFR GH FRURQDULRSDWLD 6$1726 HW DO 0DLV GD PHWDGH Q GRV SDUWLFLSDQWHV HVWXGDUDP DWp R HQVLQR IXQGDPHQWDO -i HP UHODomR DRV VXMHLWRV DWLYRV HFRQRPLFDPHQWH LGHQWLILFRX VH DV RFXSDo}HV GH PRWRULVWDV Q FRQWDGRUHV Q H RV GHPDLV Q FRP SURILVV}HV UHODFLRQDGDV j DJULFXOWXUD PDUFHQDULD H GHVSDFKRV DGXDQHLURV 6REUH D UHQGD VDODULDO Q GRV SDUWLFLSDQWHV UHFHEHP GH GRLV D WUrV VDOiULRV PtQLPRV H Q DWp XP VDOiULR +i XPD UHODomR LQYHUVDPHQWH SURSRUFLRQDO HQWUH UHFXUVRV ILQDQFHLURV H SUHYDOrQFLD GH IDWRUHV GH ULVFR FRQVLGHUDGRV PRGLILFiYHLV GLVOLSLGHPLD KLSHUWHQVmR DUWHULDO GLDEHWHV PHOOLWXV WDEDJLVPR REHVLGDGH VHGHQWDULVPR H HVWUHVVH 4XDQWR PHQRU RV UHFXUVRV ILQDQFHLURV GR LQGLYtGXR PDLRU D SUHYDOrQFLD GRV IDWRUHV GH ULVFR VXSUDFLWDGRV 3RU RXWUR ODGR RV IDWRUHV GH ULVFR QmR PRGLILFiYHLV FRPR LGDGH VH[R H KLVWyULD IDPLOLDU QmR VH FRUUHODFLRQDP FRP VLWXDomR VRFLRHFRQ{PLFD 52/$1'( HW DO 0DLV GD PHWDGH GRV SDFLHQWHV p WDEDJLVWD Q H PXLWRV IRUDP IXPDQWHV Q $ PpGLD GH WDEDJLVPR p GH DQRV H FLJDUURV SRU GLD $ PDLRULD Q FRQVLGHUDP R VHGHQWDULVPR D SULQFLSDO FDXVD GR ,$0 4XDVH Q GRV SDUWLFLSDQWHV DILUPDUDP QmR SRVVXtUHP XPD GLHWD DGHTXDGD VHQGR TXH D PDLRULD UHODWD DOLPHQWDomR LQDGHTXDGD +RXYH DOWD SUHYDOrQFLD GH VREUHSHVR Q H REHVLGDGH JUDX Q 2V SULQFLSDLV IDWRUHV SDUD R ,$0 VmR D +$6 R GLDEHWHV PHOOLWXV R VHGHQWDULVPR R WDEDJLVPR D GLVOLSLGHPLD D REHVLGDGH H RV IDWRUHV JHQpWLFRV DQWHFHGHQWHV IDPLOLDUHV 3RUpP WDLV IDWRUHV SRGHP VHU FRQWURODGRV SRU PHLR GH GLYHUVDV LQWHUYHQo}HV WDLV FRPR WHUDSLDV IDUPDFROyJLFDV GLHWDV DWLYLGDGH ItVLFD H PXGDQoD GH KiELWRV %$7,67$ HW DO $ SUREDELOLGDGH GH DFRQWHFHU XP HYHQWR FDUGLRYDVFXODU DGYHUVR WDPEpP HVWi UHODFLRQDGD DR WHPSR GH H[SRVLomR DRV IDWRUHV GH ULVFR REHVLGDGH DUWHULRVFOHURVH VHGHQWDULVPR H FRPRUELGDGHV 6È *%$5 HW DO $ LQDWLYLGDGH ItVLFD p XP GRV SULQFLSDLV H PDLV IUHTXHQWHV IDWRUHV GH ULVFR FDUGLRYDVFXODU 2 HVWLOR GH YLGD VHGHQWiULR OHYD D XP ULVFR DWp GXDV YH]HV PDLRUHV SDUD R ,$0 TXDQGR FRPSDUDGR D XPD SHVVRD FRP DWLYLGDGH ItVLFD SURJUDPDGD )5$1d$ HW DO 9LVDQGR LQFHQWLYDU D SRSXODomR D DGHULU j DWLYLGDGH ItVLFD VXUJHP FDPSDQKDV S~EOLFDV FRPR R 3URJUDPD $FDGHPLD GD 6D~GH TXH FRQVWD QR 3ODQR GH Do}HV HVWUDWpJLFDV SDUD HQIUHQWDPHQWR GDV GRHQoDV FU{QLFDV QmR WUDQVPLVVtYHLV QR %UDVLO 0$57,16 HW DO 4XDQGR TXHVWLRQDGRV VH SDUWLFLSDYDP GH DOJXP PRYLPHQWR VRFLDO Q GRV SDUWLFLSDQWHV DILUPDUDP QmR SDUWLFLSDU H DSHQDV Q DILUPDP HQYROYLPHQWR HP JUXSRV VRFLDLV DVVRFLDomR GH PRUDGRUHV H VLQGLFDWR GH OLJDGRV D FODVVH SURILVVLRQDO 4XDQWR j UHOLJLmR WRGRV RV VXMHLWRV DILUPDUDP SRVVXLU XPD FUHQoD UHOLJLRVD VHQGR PDLV GH Q GRV SDUWLFLSDQWHV FDWyOLFRV $SHQDV Q UHODWDUDP SDUWLFLSDU GR 3URJUDPD GH +LSHUWHQVmR $UWHULDO H 'LDEHWHV +LSHU'LD. $QDLV GR ž 6$/-2 ,17(51$&,21$/ '( (16,12 3(648,6$ ( (;7(16-2 6,(3( 8QLYHUVLGDGH )HGHUDO GR 3DPSD œ 6DQWDQD GR /LYUDPHQWR D GH QRYHPEUR GH.

(4) $ PDLRULD GRV SDUWLFLSDQWHV FDGDVWUDGRV QR +LSHUGLD LQIRUPDUDP TXH XWLOL]DP HVWH VLVWHPD VRPHQWH SDUD D UHWLUDGD GDV PHGLFDo}HV $SHQDV Q SDFLHQWHV UHODWDUDP TXH UHDOL]DP DFRPSDQKDPHQWR HP VHUYLoR GH VD~GH VHQGR GHVWHV Q HP HVWUDWpJLDV GD VD~GH GD IDPtOLD Q FRP PpGLFR FOtQLFR JHUDO SULYDGR H Q FRP PpGLFR FDUGLRORJLVWD SULYDGR $OWRV tQGLFHV GH FRPRUELGDGHV WDLV FRPR KLSHUWHQVmR DUWHULDO VLVWrPLFD H GLDEHWHV PHOOLWXV WHQFLRQDUDP D HVWUXWXUDomR SURJUDPDV QDFLRQDLV GH FRQWUROH GHVVDV GRHQoDV SDUD SRWHQFLDOL]DU D DWHQomR D HVWDV SHVVRDV H PLQLPL]DU RV IDWRUHV FRQGLFLRQDQWHV GH FRPSOLFDo}HV GDV GRHQoDV )(5721$1, HW DO $V DWLYLGDGHV FHQWUDGDV VRPHQWH QD GLVWULEXLomR GH PHGLFDPHQWRV VHP FRQWHPSODU LQWHJUDOPHQWH D SURSRVWD GR 3URJUDPD +LSHUGLD QmR VmR HIHWLYDV 7DPEpP VHQGR D PDLRU SDUWH GRV SDUWLFLSDQWHV Q DILUPDP WHU DQWHFHGHQWHV IDPLOLDUHV FRP SUREOHPDV FDUGLRYDVFXODUHV VHQGR Q DQWHFHGHQWHV PDWHUQRV Q DQWHFHGHQWHV SDWHUQRV H Q FRP '&9 QD IDPtOLD PDWHUQD H SDWHUQD $ FRPRUELGDGH FRP PDLRU LQFLGrQFLD HQWUH RV IDPLOLDUHV IRL D +$6 UHODWDGD SRU Q SDUWLFLSDQWHV 7DPEpP IRL UHODWDGD D SUHVHQoD GH ,$0 'LDEHWHV 0HOOLWXV H $FLGHQWH 9DVFXODU (QFHIiOLFR 3RVVXLU DQWHFHGHQWHV IDPLOLDUHV FRP GLDEHWHV +$6 H GLVOLSLGHPLD HVSHFLDOPHQWH HP SULPHLUR JUDX IDPLOLDO LQGLFD XP ULVFR DXPHQWDGR GH GRHQoD FRURQDULDQD FRP ULVFR GH PRUWH V~ELWD H LQIDUWR SUHPDWXUR 0$12(/ HW DO 2X VHMD D SUHGLVSRVLomR JHQpWLFD p XP IDWRU FRQVLGHUiYHO SDUD D RFRUUrQFLD GH LQIDUWR &216,'(5$d®(6 ),1$,6 2 SUHVHQWH HVWXGR LGHQWLILFRX FDUDFWHUtVWLFDV FOtQLFDV GRV SDFLHQWHV HP WUDWDPHQWR LQWHUYHQFLRQLVWD QD IDVH DJXGD GR ,$0 DQDOLVDQGR GH IRUPD PDLV FUtWLFD HVVH HYHQWR FDUGLROyJLFR H VXD UHODomR FRP RV DVSHFWRV VRFLDLV FOtQLFRV H DPELHQWDLV H DV GLILFXOGDGHV SUpYLDV SDUD D DGHVmR DR WUDWDPHQWR H SODQR WHUDSrXWLFR $ OLPLWDomR GR SHUtRGR HVWXGR FXOPLQRX HP XPD DPRVWUDJHP QmR VLJQLILFDWLYD &RQWXGR GHVWDFD VH TXH p SRVVtYHO LGHQWLILFDU XP SDQRUDPD GHVVD GRHQoD FDUGLROyJLFD HVSHFLDOPHQWH RV IDWRUHV GH ULVFR QD )URQWHLUD 2HVWH GR 5LR *UDQGH GR 6XO 7DPEpP p YLiYHO UHSODQHMDU D RUJDQL]DomR GD DWHQomR DRV SDFLHQWHV QRV FHQiULRV TXH FRPS}HP D UHGH ORFDO e SRVVtYHO FULDU QRYRV SURJUDPDV H Do}HV HP UHGH GH DWHQomR j VD~GH SDUD IRUQHFHU XPD DVVLVWrQFLD TXDOLILFDGD DOHUWDQGR RV SDFLHQWHV TXH HVWmR HP WUDWDPHQWR GR ,$0 LQFOXLQGR D UHDOL]DomR GH DWLYLGDGHV GH SURPRomR GD VD~GH H SUHYHQomR GDV GRHQoDV FDUGLRYDVFXODUHV 5()(5Ç1&,$6 %$7,67$ 6 5 5 HW DO +RVSLWDOL]DWLRQV GXH WR SULPDU\ FDUH VHQVLWLYH FDUGLRYDVFXODU FRQGLWLRQV LQ PXQLFLSDOLWLHV RI &HQWUDO :HVW %UD]LO 5HY 6D~GH 3~EOLFD 6mR 3DXOR Y Q S IHY 'LVSRQtYHO HP KWWS G[ GRL RUJ 6 ! $FHVVR HP VHW %86$1(//2 - HW DO &ROOHFWLYH DQG LQGLYLGXDO QHHGV RI SRSXODWLRQ KHDOWK ZLWK FDUGLRYDVFXODU GLVHDVH 5HY HQIHUP 8)3( RQ OLQH 5HFLIH Y Q S GH] 'LVSRQtYHO HP KWWSV GRL RUJ Y L D S ! $FHVVR HP VHW )(5721$1, + 3 HW DO 7KH KHDOWK FDUH PRGHO FRQFHSWV DQG FKDOOHQJHV IRU SULPDU\ KHDOWK FDUH LQ %UD]LO &LrQF VD~GH FROHWLYD 5LR GH -DQHLUR Y Q S MXQ $QDLV GR ž 6$/-2 ,17(51$&,21$/ '( (16,12 3(648,6$ ( (;7(16-2 6,(3( 8QLYHUVLGDGH )HGHUDO GR 3DPSD œ 6DQWDQD GR /LYUDPHQWR D GH QRYHPEUR GH.

(5) 'LVSRQtYHO. KWWS G[ GRL RUJ. !. $FHVVR HP. VHW. )5$1d$ - / 0 HW DO 0RUWH V~ELWD FDUGtDFD R SHUILO GD SUHYHQomR QRV FOXEHV GH IXWHERO GR HVWDGR GR 3LDXt 5 %UDV &L H 0RY 7DJXDWLQJD Y Q S 'LVSRQtYHO HP KWWS G[ GRL RUJ UEFP Y Q S ! $FHVVR HP VHW 0$12(/ 0 ) HW DO (GXFDWLRQDO VWUDWHJLHV IRU SHRSOH ZLWK K\SHUWHQVLRQ DQG GLDEHWHV PHOOLWXV 5HY (QIHUP 8(5- 5LR GH -DQHLUR Y Q S VHW 'LVSRQtYHO HP KWWSV GRL RUJ UHXHUM ! $FHVVR HP VHW 0('(,526 7 / ) HW DO 0RUWDOLW\ E\ DQ DFXWH P\RFDUGLDO LQIDUFWLRQ 0RUWDOLGDGH SRU LQIDUWR DJXGR GR PLRFiUGLR 5HY HQIHUP 8)3( RQ OLQH 5HFLIH Y Q S IHY 'LVSRQtYHO HP KWWSV GRL RUJ Y L D S ! $FHVVR HP VHW 0(57,16 6 0 HW DO 3UHYDOrQFLD GH IDWRUHV GH ULVFR HP SDFLHQWHV FRP LQIDUWR DJXGR GR PLRFiUGLR $Y (QIHUP %RJRWi Y Q S MDQ 'LVSRQtYHO HP KWWS G[ GRL RUJ DY HQIHUP Y Q ! $FHVVR HP VHW 3$66,1+2 5 6 HW DO 6LQDLV VLQWRPDV H FRPSOLFDo}HV GR LQIDUWR DJXGR GR PLRFiUGLR 5HYLVWD GH HQIHUP 8)3( RQ OLQH 5HFLIH Y S MDQ 'LVSRQtYHO HP KWWSV SHULRGLFRV XISH EU UHYLVWDV UHYLVWDHQIHUPDJHP DUWLFOH YLHZ ! $FHVVR HP VHW 52/$1'( ' 0 HW DO 3URJQRVWLF GHWHUPLQDQWV RI SDWLHQWV ZLWK FKURQLF V\VWROLF KHDUW IDLOXUH VHFRQGDU\ WR V\VWHPLF DUWHULDO K\SHUWHQVLRQ $UT %UDV &DUGLRO 6mR 3DXOR Y Q S MDQ 'LVSRQtYHO HP KWWS G[ GRL RUJ 6 ; ! $FHVVR HP VHW 6È *%$5 HW DO 2 3URJUDPD $FDGHPLD GD 6D~GH FRPR HVWUDWpJLD GH SURPRomR GD VD~GH H PRGRV GH YLGD VDXGiYHLV FHQiULR QDFLRQDO GH LPSOHPHQWDomR &LrQF VD~GH FROHWLYD 5LR GH -DQHLUR Y Q S MXQ 'LVSRQtYHO HP KWWS G[ GRL RUJ ! $FHVVR HP VHW 6$1726 - & HW DO 5LVN IDFWRUV DQG FRPSOLFDWLRQV LQ SDWLHQWV ZLWK K\SHUWHQVLRQ GLDEHWHV LQ D UHJLRQDO KHDOWK GLVWULFW RI QRUWKHDVW %UD]LO 5HY (VF (QIHUP 863 6mR 3DXOR Y Q S RXW 'LVSRQtYHO HP KWWS G[ GRL RUJ 6 ! $FHVVR HP VHW 628=$ 1 3 * HW DO &RQFHSWLRQV RI LOOQHVV IURP K\SHUWHQVLRQ DQG 'LDEHWHV 0HOOLWXV DPRQJ D JURXS RI KRVSLWDO LQSDWLHQWV 5HY HQIHUP 8(5- 5LR GH -DQHLUR Y Q S MDQ IHY 'LVSRQtYHO HP KWWS G[ GRL RUJ UHXHUM ! $FHVVR HP VHW. $QDLV GR ž 6$/-2 ,17(51$&,21$/ '( (16,12 3(648,6$ ( (;7(16-2 6,(3( 8QLYHUVLGDGH )HGHUDO GR 3DPSD œ 6DQWDQD GR /LYUDPHQWR D GH QRYHPEUR GH.

(6)

Referencias

Documento similar

DECORA SOLO LAS IMÁGENES QUE NECESITES PARA LLEGAR AL NÚMERO CORRESPONDIENTE... CEIP Sansueña/CEIP Juan XXIII Infantil

Las personas solicitantes deberán incluir en la solicitud a un investigador tutor, que deberá formar parte de un grupo de investigación. Se entiende por investigador tutor la

de se convertir en chaux par la calcination- L a formation de ces pierres nous paroît due, en grande partie , au détritus des coquillages : Tidentité des

Lo más característico es la aparición de feldespatos alcalinos y alcalino térreos de tamaño centimétrico y cristales alotriomorfos de cuarzo, a menudo en agregados policristalinos,

WCENTVM XXIII XX1V, 2 0 0 4 2 0 0 5 ANACES DE LA UNIVERSIDAD DE ALICANTE PREHISTORIA, ARQUEOLOGÍA E HISTORIA ANTIGUA LVCENTVM XXIII XXIV 2004 2005 Anales de la Universidad de

La solución que se ha planteado, es que el paso o bien se hiciese exclusivamente por el adarve de la muralla, o que una escalera diese acceso por la RM evitando la estancia (De

Imparte docencia en el Grado en Historia del Arte (Universidad de Málaga) en las asignaturas: Poéticas del arte español de los siglos XX y XXI, Picasso y el arte español del

The Global Compact for Safe, Orderly and Regular Migration (Global Compact for Migration hereinafter) has been considered the first instrument to comprehensively address all